• Korean Journal of Psychosomatic Medicine
• /
• v.31 no.2
• /
• pp.89-99
• /
• 2023

Objectives : In this study, elderly hospitalized patients aged 65 years or older who were admitted to a university hospital and referred to the department of psychiatry were classified into youngest-old, middle-old, and oldest-old. It was conducted to find out what factors contribute to the agitation pattern by age group, whether there is a difference in the factors, and whether there is a difference in the severity of the agitation pattern. Methods : From July 1, 2021 to December 31, 2021, the medical records of patients aged 65 years or older who were referred to the department of psychiatry were retrospectively reviewed. Age, gender, route of hospitalization, department of referral, reason for referral, treatment method, presence of internal and surgical diseases, and hematological test data were investigated. Results : There was a significant correlation with the RASS score in cases of surgery referral and high CRP levels for youngest-old aged 65 to 74 years, in cases of surgery referral, dementia and hyponatremia for middle-old aged 75 to 84 years, in case of dementia for oldest-old aged 85 years old or older. In addition, there were differences in the severity of agitation patterns between age groups. Conclusions : As the age group increases, the agitation of delirium patients becomes more severe, and various factors contributing to the agitation pattern also differ by age group. Therefore, when treating elderly patients with delirium, attention should be paid to factors that may affect agitation depending on age.

• Physical Therapy Korea
• /
• v.10 no.3
• /
• pp.41-51
• /
• 2003

The purpose of this study was to examine the effects of stroke patients' cognitive score on their the activities of daily living. The subjects of this study were 30 stroke patients who were admitted to T$\breve{a}$e-Bong hospital from November, 2002 to March, 2003. The subjects were administerd an MMSE as a cognitive assessment and an MBI as a functional assessment upon referral to physical therapy initially. The results were as follows: 1. The MMSE scores for the stroke patients were related to the patients' abilities to perform their activities of daily living. The changes of MBl scores significantly correlated with the changes of MMSE scores (p<.05). 2. The subjects with left hemispheric lesion scored higher in MMSE than those with right hemispheric lesions (p<.05). 3. The hemispheric lesions did not significantly affect the activities of daily living score (p>.05).

• Physical Therapy Korea
• /
• v.4 no.2
• /
• pp.77-88
• /
• 1997

Conversion disorder is a psychologically produced alteration or loss of physical functioning suggestive of a physical disorder. Conversion symptoms are often superimposed on organic disease and can be overlooked. Psychological techniques are central to the management include the following: avoiding confrontation with the patients; avoiding reinforcement or trivializing the symptoms; reviewing results of tests and exams and creating an expectation of recovery; educating the patient before a treatment is begun; evaluating the patient's emotional adjustment and considering it at a treatment; using caution in labeling the condition; considering referral for psychotherapy; establishing particularly a treatment plan and making a definite treatment program; adjusting patient' s environment; letting participate a family at appropriate time; developing a reinforcement program for a treatment of chronic symptoms; developing a home program for outpatients. Use behavior therapy reinforcement may be helpful with more chronic or resistant symptoms, especially when there is a history of vague or excessive somatic complaints or significant secondary gain.

• Journal of Korean Library and Information Science Society
• /
• v.10
• /
• pp.59-94
• /
• 1983

Through the close examination of characteristics of adolescent, social institutions and its programs, and newly added and expanded library reference services. it is founded that new role and qualifications of young adult reference librarians are prerequisite subject. The following are the summary of new role and qualifications of specialized young adult reference librarianship. 1. Adequate training and education for the YA librarians is needed in order to have understanding of their characteristics (physiology, psychology, personality etc.). 2. Because of librarian's unique exposure to human relations and their personal awareness of other people's need, YA librarian should bring a person-centered managerial technique. 3. Librarianship may not have a clinical counseling function but to provide right answer or information, the librarian become counselor inescapably. 4. Librarians are not professionally trained to be experts on counseling in sex education. However, librarians can play an important role in educating YA by committing book selection, reader's advisory, referral services, library programming and staff development planning.

• Clinical and Experimental Pediatrics
• /
• v.48 no.1
• /
• pp.1-5
• /
• 2005

Pediatricians often encounter some electrocardiographic abnormalities in infants and children. However, treatment or referral to pediatric cardiologist is not indicated for all arrhythmias. Many of them are benign in nature. Benign arrhythmias can be defined as the arrhythmias that no serious problem currently exists and no treatment is needed. The prognosis of benign arrhythmias is so good that the condition will never be associated with future health problem. However, some of them are benign now, but have potential for variable degrees of change to a nonbenign condition and some form of follow-up is required. For the appropriate management of electrocardiographic abnormalities, not infrequently seen in infants and children, correct diagnosis of abnormal electrocardiogram and understanding of characteristics of arrhythmias are required.

• Health Policy and Management
• /
• v.3 no.2
• /
• pp.27-80
• /
• 1993

It is widely known that patients' utilization pattern for medical care facilities and the patientflow are influenced by multi-factors, such as demographic characteristics, structural characteristics of society, socio-psychological characteristics(value, attitude, norms, culture, health behavior, etc.), economic characteristics(income, medical price, relative price, physician induced demand, etc.), geographical accessibility, systematic characteristics(health care delivery system, payment methods for physician fees, form of health care security, etc.), and characteristics of medical facilities(reliability, quality of medical care, convenience, kindness, tec.). This study was conducted to research the mechanism of patient-flow according to changes of health care system(implementation of national health insurance, health care referral system and regionalization of health care utilization, etc.) and characteristics of medical facilities(ownership of hospital, characteristics of medical services, non-medical characteristics, etc.). In this study, the fact could be ascertained that the patient-flow had been influenced by changes of health care system and characteristics of medical facilities.

• Journal of Korean Library and Information Science Society
• /
• v.25
• /
• pp.595-635
• /
• 1996

The objective of this paper is to make use of marketing in order to managerial good conducted the pursuit of public interest of the public library. The information service of the public library is to be user orientated. The results of the study is as follows : The activation of the community information is based on get hold of the exact community needs : in this paper, it is proposed to the survey's frame of the community need ; according to the results of the survey, the community needs the institution of the information and referral service and the public library must be made of the information unit of the nation for the public service and the public sphere of the information in the future.

• Clinical and Experimental Pediatrics
• /
• v.53 no.6
• /
• pp.669-679
• /
• 2010

The risk of mortality and morbidity of patients with congenital heart defects (CHDs) is highest during neonatal period and increases when diagnosis and proper management are delayed. Neonates with critical CHDs may present with severe cyanosis, respiratory distress, shock, or collapse, all of which are also frequent clinical presentations of various respiratory problems or sepsis in the newborn. Early diagnosis and stabilization and timely referral to a tertiary cardiac center are crucial to improve the outcomes in neonates with CHDs. In this review, the clinical presentation of critical and potentially life-threatening CHDs is discussed along with brief case reviews to help understand the hemodynamics of these defects and ensure proper decision-making in critically ill patients.

• Journal of Korean Library and Information Science Society
• /
• v.20
• /
• pp.187-216
• /
• 1993

The overall goal of this study is to identify what I'||'&'||'R is, and what services should be offered as legitimate I'||'&'||'R actives. The gist of the study is as follows: 1. The shift of the clients targeted to receive the services from disadvantageous to every person. 2. Ambiguity in I'||'&'||'R definition. Because it is hard to distinguish I'||'&'||'R service from the traditional reference service, and shifting of clients, the establishment of the definition was very difficult. Instead of a definite answer, the criteria for "I'||'&'||'R Providers" was drawn. 3. Most provided services were simple and complex information giving based on resource file. Constructing resource file is a major component of I'||'&'||'R service. 4. From 1980s, many I'||'&'||'R providing libraries adapted computer a n.0, pplications. 5. Social work and library-internship was advised to conduct a cooperative project by NCLIS, I'||'&'||'R Task Force. 6. In the high technological era, there continue to be many people who need the su n.0, pportive relationship. I'||'&'||'R is to optimize both the service and clients. Librarian must learn from the principle of high tech/high touch.

• Journal of Veterinary Clinics
• /
• v.20 no.2
• /
• pp.255-258
• /
• 2003

A 2.5 kg, three-month-old. intact male Shih-tzu was referred to the Veterinary Teaching Hospital of Kyungpook National University to examine the postoperative inflammation and suspected diaphragmatic defect which had been found during the surgical correction of umbilical hernia by the referral veterinarian. An umbilical hernia had been surgically repaired one month earlier at the time. Radiographic findings were enlarged cardiac silhouette containing soft tissue and gas densities and overlapping of cardiac and diaphragmatic borders. Ultrasonographic findings revealed the discontinuity of the diaphragm and the partial herniation of the liver into the pericardial sac. According to these findings, it was diagnosed as congenital peritoneopericardial diaphragmatic hernia(PPDH). Because the dog showed no serious clinical signs of PPDH and the owner didn't want a surgery to correct it, the dog was discharged the day of the examination after treatment of the inflammatory surgical site. On the follow-up after three months, the dog showed no distinct clinical signs of PPDH and was in good physical condition.